Active NPI
Sofise Chen, D.D.S.
- Pediatric Dentistry
- Burbank, CA
National Provider Identifier
1487905808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 41595
- Practice address
- 2625 W Alameda Ave
Suite 216
Burbank, CA 91505-4806 - Phone
- (818) 846-8564
- NPI assigned
- Sep 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 41595 | CA | Primary |
Addresses
Primary practice location
2625 W Alameda Ave
Suite 216
Burbank, CA 91505-4806
Mailing address
6218 Camellia Ave
Temple City, CA 91780-1758
Phone (626) 623-8118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41595 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zinnia Carlos Regala DDS Apc | Pediatric Dentistry | Past | Accepting new patients |
| Sofise Chen, D.D.S. a Professional Dental Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Burbank, CA
- NPI 1922359603
-
- Pediatric Dentistry
- Burbank, CA
- NPI 1487213393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1487905808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6218 CAMELLIA AVE",
"city": "TEMPLE CITY",
"state": "CA",
"postal_code": "917801758",
"telephone_number": "626-623-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 W ALAMEDA AVE",
"address_2": "SUITE 216",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054806",
"telephone_number": "818-846-8564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SOFISE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-25",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "41595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.